Individual
BRUCE A CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
38701 7 MILE RD STE 473, LIVONIA, MI 48152-1091
(734) 335-8799
Mailing address
6193 PORTERIDGE LN, CANTON, MI 48187-2626
(734) 604-3454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401224976
MI
Other
Enumeration date
03/15/2023
Last updated
07/23/2025
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